In todays competitive

MISSION OF THE HOSPITAL

“QUALITY HEALTHCARE FOR ALL”

AIM

CONCEPT OF PLANNING:

In the event to establish a hospital it is necessary to develop an idea which is based on good
planning, designing, construction and good administration.
The success of the hospital is generally measured by the quality of patient care it provides and
the efficiency with which it operates.

 It must be designed to meet the needs of the people – accessible and affordable.
 The hospital must be staffed with competent and adequate number of efficient doctors,
nurses and other professionals.

PROPOSAL

To commission a multispeciality 30 bedded hospital providing facilities and comprehensive

healthcare in the following areas:

1. Surgical
2. Emergency care
3. Medical
4. Paediatrics
5. Obstetrics & Gynaecology.

The services provided by the hospital will be at an affordable cost .

GUIDING PRINCIPLES IN PLANNING A HOSPITAL

 A hospital is responsible to render essential service.

 These principles are useful irrespective of the level of planning i.e at the national
level, state level or individual hospital level.
4 GUIDING PRINCIPLES
1. High quality of patient care
2. Effective community orientation
3. Economic viability
4. Sound Architectural plan

PLANNING TEAM:

 The Hospital Planning team comprises of :

o The Hospital Administrator
o Specialist from various clinical branches
o Nursing Advisor
o Civil & Electrical Engineers
o Representative of local body
o Senior Architect
NAME OF THE HOSPITAL:

LOCATION:

SIZE:

30 bedded hospital proving preventive , curative services, OPD Consultations, IPD admissions ,
Casualty facilities, Laboratory & Pharmacy facilities.

SPECIFIC USE OF LAND :

Hospital purpose

REGISTERED OFFICE : Mumbai

DATE OF COMMENCEMENT OF BUSINESS OF THE HOSPITAL

OBJECTIVES

 To promote awareness of health care among all sections of people.

 To provide healthcare services to the community .
 To provide health services 24 x 7 .
 To promote the development of high quality hospital services and community health care.
 To update the knowledge and skill of the Health & Hospital Administrators and other
personnel involved in the management of health care organization through continuous
education and research.


CATCHMENT AREA

WORKLOAD:

The proposed hospital shall attract adequate number of patients from the vicinity and then
target other segments in the area.
MARKET SURVEY:

Since major decisions will be taken on the result of the survey it must be done in a professional
manner.
Major considerations involve:
 Type & Size of the hospital
 Age distribution
 Affordibility of the community
 Occupation

FEASIBILITY STUDY:

Demographic pattern
 Type of residents
 Affordibility status
 Extent of the area that needs to be covered
 Peoples psycological behaviour, attitudes, perceptions.
2. Needs Assesment
 Healthcare need of the people- preventive, curative, rehabilitative, general care,
speciality care.
 Vulnerable group- paediatric, women, geriatric etc
 Economic status
 Utilization status of the existing healthcare facilities- hospital bed availibility,
population coverage & bed distribution, Availibility of medical services, availibility
of payment of hospital services, qualified medical manpower available.
Site selection
 Availibility of land keeping in mind future expansions.
 Eg- 100 bedded hospital approx 15 acres of land.
 Soil suitability for construction.
 Sub soil water and mineral level and bearing quality of soil determines the type of
foundation,
 Adequate drainage facilities for water.
4. Environmental Scanning
 Away from heavy roads with heavy traffic.
 No nearby noise and smoke from emitting industries.
5.Availibility of Electricity
 Electrical sub station in the vicinity
 Electrical supply line.
 Standby generator.
 Availibility of electric supply with proper load.
FACILITIES AVAILABLE:

At the moment there are private health care providers as well as other hospitals in the vicinity
but as per the survey they are not too happy with the services as the pricing is too high.

The main goal of this proposed hospital is to provide comprehensive healthcare at affordable
rates .

GENERAL FEATURES:

1. Maximum light & ventilation to all parts of the building

2. Screened windows
3. Separate entrances to the hospital- main, OPD, ER, Service
4. Seperating public corridoors from staff & patient to reduce the transit time.
5. Visitors route should be controlled carefully
6. Hard & durable floors
7. Walls must be smooth finished , easy to clean.
8. Fire escape routes should be well defined
9. Stairways, ramps should be designed properly.
10. Adequate parking facilities.
11. Attractive landscaping

TECHNICAL ANALYSIS:

The hospital building will be as per the National Building Code standards. Accessibility to the
hospital is easy as the roads are wider to accommodate different sizes of vehicles.

It will be well ventilated . There will be good amount of water supply 24 hrs and continuous
electricity supply backed up by generators.

Communication networks through EPBAX system for connecting the telephone lines. There will
be CCTV installed at different areas of the hospital. The proposed hospital will be a 2 storeyed
structure . There will be provision of stretchers and wheelchairs to transport immobile patients.
The hospital will be equipped with ambulances inorder to refer patients to other hospitals
incase of an emergency.
This hospital will include Consultation rooms, ICU , Laboratory, Imaging department which will
provide utmost care to the patients round the clock.

GENERAL

 The hospital will provide quality healthcare services.

 The hospital will provide primary as well as secondary level care with respect to
Preventive, Curative services.
 It will provide medical and surgical services.
 The hospital is planned taking into account future expansion which may be required in
the future.

PROJECT WORKLOAD:

PHYSICAL FACILITIES:

Road Accessibility :

Roads are wide enough.

Area of the hospital – 1 hectare or more

The size will be adequate enough for housing the institution with future considerations of
expansion. Pxomity of its location to different segments of the potential market.

Height -

 Building - Not less than 8 metres.

 Floor height in the rooms – not less than 3 metres.

Patient rooms will have adequate ventilation , provision of windows and fans.
The design of the building should be such that noise caused by walking, movement of trolleys
should not penetrate other areas.

Communication system:

 Computers with MIS

 Nurse on the call system wherein switches will be provided for all beds in all types of
ward with indicator light and location indicator situated in the nurses duty room.
 CCTV
 Telephone lines - 5 incoming and 7 outgoing lines.

Electricity:

 Electrical box and distribution panel.

 Insulation of all the exposed parts.
 Provision for Generator & UPS.
 Provision for side lamps next to patient beds.
 Solar Panels to be planned inorder to reduce the load on electricity and conserve
energy.

Water supply:

 Provision of continuous supply of water.

 Cold and hot water supply piping will be installed in a concealed form with full
precautions to avoid seepage of water.
 Proper drainage system for sewage disposal.
 Waste disposal methods for BMW.

Fire Fighting:

 Smoke detectors to be installed at different areas that will detect fire when there is a
fire breakout.
 Water riser with a connecting hose to be installed on every floor.
MEDICAL GASES:

 Colour coding of the pipelines to help identify which gas is passing through which
pipeline.

AMBULANCE:

 Ambulance services will be provided to patients in case the patient needs to be

transferred to another hospital.

HEALTHCARE PLAN:

A 30 bedded hospital will have the following considerations:

Medical & Allied:

 Emergency Medicine
 General Medicine
 General Surgery
 Paediatrics
 Obstetrics & Gynaecology

Health & Allied Services:

 Nutritional counselling
 Health Education
 Family Welfare
 Marriage counselling
 Maternal & child health care
 Antenatal services for the mother
 School health care.
 Conducting workshops
 Counselling

Imaging

 X-ray
 Ultrasound
FUNCTIONAL PLAN

DEPARTMENTS AT THE HOSPITAL:

CLINICAL:

 General Medicine
 General Surgery
 Paediatrics
 Gynaecology & Obstetrics
 Anesthesiology
 Emergency Medicine

SUPPORTIVE SERVICES:

 Laboratory
 Radiology
 Pharmacy
 Medical Records
 Housekeeping
 Cafeteria
 Water storage
 Medical gases storage area

ADMINISTRATIVE:

 Hospital Administration
 Human Resources
BED DISTRIBUTION:

Obstetrics – 10

Paediatrics – 10

Remaining 10 will be divided between other specialities Medicine, Surgery, Emergency etc.

RESIDENTIAL ACCOMODATION:

Residential accommodation will be provided for resident medical officer, nurses and Class IV
staff.

SPACE & PHYSICAL REQUIREMENTS:

WORK FLOW ANALYSIS:

CONSTRUCTION PLAN: INCLUDED

 Design of construction
 No . of floors for the hospital building
 Facilities to be provided on each floor
 Designing of OPD, Emergency , IPD
 Designing of O.T & Laboratory
 Supportive & Ancillary services
 Space for expansion
 Auxillary areas, canteen, parking etc.

ARCHITECT’S BRIEF

 It involves
 Analysis of functional needs
  Definition of operational policies
 Inter- relationship of departments
 Grouping of accommodation
 Outline of traffic flow
 Engineering services

LICENSES:

The following permissions will be obtained before construction of the work:

 Work permit from Municipality

 OC certificate
 Pharmacy License
 NOC from chief fire officer
 NOC under Biomedical waste rules
 Compliance with National Environmental Pollution Rules & regulations
 Compliance with Sanitation code, plumbing codes
 Registeration of the PAN no.
 Vehicle registeration certificate.
 Registeration of X-ray machine with BARC.
 Registration of Ultrasound machine under PNDT Act.
 Registeration under MTP Act.

FINANCIAL PLANNING:

Financial planning is very critical. Financial needs should be anticipated and planned for.
This usually covers both the operational needs as well as funds for acquisition of capital
items.

The cost computed per bed will depend on various factors like the cost of land, wage and
salary rate, accessibility of the materials and so on.

Sophisticated equipment and expensive construction material will significantly enhance the
investment.

Capital cost of the building will be approximately 40-45 lakhs.

 All taxes will be applicable & accounted for.

The medical suprientendant will be the authorized signatory for all the expenditure.

 Financial planning is an integral part and the following points need to be considered.
 Acquisition of site
 Site survey, investigation
 Landscaping
 Construction contract-
building with fixed equipment
 Supervision & Inspection
 Equipping the hospital-
diagnostic & therapeutic equipment.
 Movable equipment- furniture etc
 Architect’s fees, site engineer’s fees,
 consultant’s fees.

Sources of acquiring funds:

Banks and Financial institutions such as Industrial Development Bank of India (IDBI), ICICI for
temporary & long term loans.

EQUIPMENT PLANNING:

 The term Equipment means all items that are required for the functioning of all
services of the hospital.
 The equipment in the hospital can be classified into 4 categories;
 Physical plant – lifts, boilers, refrigerators, generator
 Hospital furniture & appliances- beds, stretchers, wheelchairs, bedside lamps.
 General purpose furniture & appliances- intercom, calculators, computers.
 Therapeutic & Diagnostic equipment- surgical instruments, BP instruments, suction
machine, X ray machine, incubators, USG machines.